1) APACHE II > 11 en las primeras 24 horas 2) Lavado peritoneal con CRITERIOS DE SEVERIDAD DE BALTHAZAR-RANSON PARA TC. Online calculator for the Acute Physiology and Chronic Health Evaluation ( APACHE II) to predict hospital mortality based on 14 factors. The Pearson correlation (PC) for APACHE-II and Ranson p = of de severidad de la pancreatitis aguda según criterios de Ranson, APACHE-II y.

Author: Yojinn Shakazil
Country: Algeria
Language: English (Spanish)
Genre: Music
Published (Last): 9 January 2015
Pages: 385
PDF File Size: 6.83 Mb
ePub File Size: 16.47 Mb
ISBN: 782-2-17201-874-4
Downloads: 25575
Price: Free* [*Free Regsitration Required]
Uploader: Moshakar

Corelation among clinical, biochemical and tomographic criteria in order to evaluate the severity in acute pancreatitis.

The study initially enrolled 5, patients admitted to 13 intensive care units in the United States from to The patient population was mostly comprised of surgical patients however.

Concerning the hematocrit value, 57 and Please fill out required fields. By using this site, you agree to the Terms of Use and Privacy Policy.

About the Creator Dr. Fifty per cent of the patients had acute severe pancreatitis according to the Atlanta criteria.

William Knaus’s publications, visit PubMed. This page was last edited on 28 Aprilat The correlation coefficients for the Balthazar scale were: Click this icon to view specific definitions of ‘severe organ system pancreatittis and ‘immunocompromised’, which include:.

Acute Physiology and Chronic Health Evaluation (APACHE II) Calculator –

We ended up not being able to achieve those very ambitious goals. The user is a person, an individual. But at that time, technology was getting a lot better, computers pancreayitis beginning to run faster, we had a lot more computer speed, and we envisioned the future even in the late ’80s and early ’90s that we could have an algorithmic-based system that would retrieve data automatically for people, and be able to help them make critical decisions based on how sick the patient was, whether the therapy was working, how long the patient was anticipated to dw, etc.


The objective of this study was to correlate the severity degree of the acute pancreatitis according to the Ranson, APACHE-II criteria, and the determination of the serous hematocrit at the moment of admission, with the local pancreatic complications according to the tomographic Balthazar criteria, in order to give a better prognosis value to the criterrios finds in relation with the AP severity.

People would use one single blood test, like a pacreatitis lactate level, and then they would pick a threshold, above this or below that. A retrospective, observational and analytic study was made.

APACHE II Calculator

We evolved that—it had a large number of variables, and even something as simple as the equations we had developed for APACHE at that time, you would have to put them on the computer on Friday evening panceatitis wait until Monday morning. We were unexpectedly well-received. They can also be used to determine prognosis and help family members make informed decisions about the aggressiveness of care.

Rev Esp Enferm Dig ; This article includes a list of referencesbut its sources remain unclear because it has insufficient inline citations. Therefore, to have or not an advanced Balthazar does not necessarily represent a serious pancreatic disease or a systemic inflammatory response, and on the other hand to have a slight disease by means of clinical and biochemical criteria does not mean a lower degree on the tomographic Balthazar classification.


APACHE II – Wikipedia

The diagnosis of acute pancreatitis was established with apachd of the 3 following criteria: Med Intensiva ; The worst values recorded during the initial 24 hours in the ICU should be used. Accessed December 31, Articles lacking in-text citations from October All articles lacking in-text citations All articles with unsourced statements Articles with unsourced statements from July According to the Balthazar tomographic degree and the AP severity of clinical and biochemical criteria, of the patients that were classified within slight disease, none was classified within the A Balthazar degree, It was not possible on our pancreztitis study to measure it on all of the patients, but in a posterior study it would be of great importance to correlate these parameters in order to look for a better indicator to make the decision of performing or not a tomographic study in patients with slight AP.

These were measured during the first 24 hours after admission, and utilized in addition to information about previous health status recent surgery, history of severe organ insufficiency, immunocompromised state and baseline demographics such as age. The previous statement was carried out in all of our patients.

So we knew that there was something to the simplicity of the use of that. The tomographic evaluation was performed by Mexico’s General Hospital radiologists and was reported according to the A and E degree of the tomographic Balthazar criteria.